Langston Tyler Holly, MD - Medicare Neurosurgery in Los Angeles, CA

Langston Tyler Holly, MD is a medicare enrolled "Neurological Surgery" physician in Los Angeles, California. He went to University Of California, Geffen School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice The Regents Of The University Of California and his current practice location is 300 Medical Plz, #200, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-5111.

Langston Tyler Holly is licensed to practice in California (license number A62574) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063437192.

Contact Information

Langston Tyler Holly, MD
300 Medical Plz, #200,
Los Angeles, CA 90095-0001
(310) 825-5111
Not Available

Map and Direction




Physician's Profile

Full NameLangston Tyler Holly
GenderMale
SpecialityNeurosurgery
Experience29 Years
Location300 Medical Plz, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Langston Tyler Holly attended and graduated from University Of California, Geffen School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1063437192
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 07/16/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5799832341
  • Enrollment ID: I20090416000484

Medical Identifiers

Medical identifiers for Langston Tyler Holly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063437192NPI-NPPES
00A625740MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery A62574 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Regents Of The University Of California135524949144

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Langston Tyler Holly allows following entities to bill medicare on his behalf.
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538125844
PECOS PAC ID: 1355249491
Enrollment ID: O20031226000291

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Langston Tyler Holly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Langston Tyler Holly, MD
5767 W Century Blvd, # 400,
Los Angeles, CA 90045-5631

Ph: (310) 825-5111
Langston Tyler Holly, MD
300 Medical Plz, #200,
Los Angeles, CA 90095-0001

Ph: (310) 825-5111

Reviews and Comments


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Dr. John Yu, M.D.
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Phone: 310-423-7900    Fax: 310-423-0777

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.